Professional Documents
Culture Documents
INDIVIDUAL
DATE ISSUED
CC12012
11793510
2013
NAME (SURNAME)
CITY OF BAGUIO
(FIRST)
06-10-13
(MIDDLE) TIN (If Any)
TAXPAYERS COPY
GASATAN,
ADDRESS
JOAN
ICR NO. (If an Alien) PLACE OF BIRTH
M
SEX: 1 2 MALE FEMALE HEIGHT
Filipino
CIVIL STATUS Separated 1 1 1
Benguet
DATE OF BITRH Widow/Widower/Legally
5
WEIGHT
02/27/92
TAXABLE AMOUNT
50
COMMUNITY TAX DUE
Single
A. BASIC COMMUNITY TAX (5.00) Voluntary or Exempted (1.00) B. ADDITIONAL COMMUNITY TAX (tax not to exceed P5,000.00)
1. 2. 3. GROSS RECEIPTS OR EARNINGS DERIVED FROM BUSINESS DURING THE PRECEDING YEAR (P1.00 for every P1,000.00) SALARIES OR GROSS RECEIPT OR EARNINGS DERIVED FROM EXERCISE OF PROFESSION OR PURSUIT OF ANY OCCUPATION (P1.00 for every P1,000.00) INCOME FROM REAL PROPERTY (1.00 for every 1,000.00)
5.00 P
TAXPAYERS SIGNATURE